Individual
JASON L HENNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST # F5-704, CHICAGO, IL 60611-2908
(312) 926-9206
Mailing address
4653 N PLAINFIELD AVE, NORRIDGE, IL 60706-4336
(708) 452-7449
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036117096
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036117096
IL
Other
Enumeration date
07/30/2008
Last updated
09/03/2024
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